Dementia Care Improvement Toolkit

For those of you interested in tools to assist you in developing and implementing dementia care improvement initiaves, Michelle Mitchell has added a number of resources that past participants of the Geriatric Grand Challenge Institute (previously the Geriatric Nursing Innovations Education Institute) have found helpful.  If you have other tools you would like to share, please subscribe to the group, and add content via the "add content" button on the upper left corner of the page.

Recent Posts

Two of our past participants in the Geriatric Innovations in Education series documented the process they used to develop their practice improvement project.

GNIE CPIP Team – Lenoir County

Meet Alexis Welch, EdD, MAED, BSN, AS, Teresa Sumner, BSN, and Marie Hudson, BSN as they are interviewed by Eleanor McConnell, PhD, RN, GCNS-BC regarding their Clinical Practice Improvement Project (CPIP) experience that they completed while attending the Lenoir GNIE series.  The discussion takes us through development and the sustainability of their project.

On September 26, 2013, the Health Resources and Services Administration (HRSA), in collaboration with the Office of the Assistant Secretary for Planning and Evaluation, released a continuing education course entitled “Case Challenges in Early Alzheimer’s Disease” in support of the National Plan to Address Alzheimer’s Disease.  The continuing education course is aimed at educating primary care physicians, nurse practitioners, and nurses on how to utilize evidence-based strategies to diagnose, monitor, and treat patients with Alzheimer’s Disease and improve early detection in primary care and

Our participants past and present have used this template as a guide to help them in gathering information, structuring the information and  creating their presentations for the end of the series.  I hope that you will also find them as a useful guide!

As part of the Duke University Health Equity Academy, we have the opportunity to host distinguished researchers who are focusing on reducing health disparities.

April's lunch and learn presentation was focused on leveraging knowledge of socio-economic determinants of health to create more inclusive healthcare delivery and training environments.

Click on the link attached to listen to her presentation.  I have also attached the slides which provide a lot of food for thought.

Hi Everyone, I am conducting a pilot study with the geriatric population where I work using an intervention that enhances mindfulness on overall well being.  The intervention is known as Heart Assisted Therapy-SR (HAT-SR).  HAT-SR is a non-invasive breathing technique that increases awareness and acceptance by centering on the heart.  Individuals place their hands on their heart, clear their mind, perform a breathing technique and repeat an acceptance statement (Diepold, 2006, Diepold, 2013).

 You may be interested in learning that the group that is charged with implementing the National Alzheimer's Project Act (NAPA) will occur today.the group is known as  HHS Advisory Council on Alzheimer's Research, Care, and Services is today.

In case you care to watch any of the meeting, it will be webcast live at HHS’s Live Streaming:  www.hhs/gov/live

The link below details a training program to improve care provided by those caring for hospitalized dementia patients.

The approaches outlined seem both practical and straightforward and not terribly costly or difficult.

A little education for providers of care to dementia patients may go a long way towards improving

the healthcare experience for dementia patients.

The link below discusses the need for measurement to properly evaluate, track, and

improve care provided to dementia patients. Measures are provided with a goal of

quality improvement in the care that dementia patients recieve.



Here's a link to the "Free Resources" available from Duke Medical Center Library:

Many of you probably already know that the Centers for Medicare and Medicaid Services have developed a very rich set of training modules on dementia.

If you're like may find the sheer volume of the material a little overwhelming!

Happily for us...our colleagues at the North Carolina Centers for Medical Excellence (CCME)  have reviewed these materials, and prepared a tip sheets that may help.

The tip sheet summarizes:

Health Care Professionals as well as caregivers may need to know more about post-operative confusion. Below are

links to more detailed information about this condition. Delirium is a condition that should be understood by

anyone working with older adults.

After reading 2 very compelling posts by Mary Blessing and Debi Blankenship about trying to determine when a loved one should be admitted into long-term care, I found myself wanting to know more about what families can expect when they go through this difficult decision making process. In Mary’s post, she shared a very informative fact sheet that what family members can expect when going through this transition, and information about their legal rights defined by the Nursing Home Reform Law of 1987.

One of the mainstays of care for people with dementia is making certain that their caregivers (both formal and informal) understand the basics of the disease, and how the disease influences behavior.

There are dozens of training programs available for purchase and for free.  It's worthwhile building a resource bank of educational materials you find helpful.


My current top 3 favorite sites include:

Many folks today have spoken of the importance of breaking things down into small pieces to achieve sustainable change.

Take a look at this "TED" Talk on "Tiny Changes....courtesy of our colleague Dr. Gwendolen Buhr, MD, MHS -- a terrific geriatrician at Duke.  Thank you Gwen!

Yesterday I had the privilege of attending a VA Mental Health Summit at the Durham Arts Council that was convened to bring the VA and community partners closer together in their work to support Veterans with mental health needs.